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7 results on '"Anesthesiology methods"'

1. Guidelines for treatment of acute pain in children - the consensus statement of the Section of Paediatric Anaesthesiology and Intensive Therapy of the Polish Society of Anaesthesiology and Intensive Therapy.

Author

Cettler M, Zielińska M, Rosada-Kurasińska J, Kubica-Cielińska A, Jarosz K, and Bartkowska-Śniatkowska A

Subjects
Analgesics, Child, Humans, Poland, Acute Pain diagnosis, Acute Pain therapy, Analgesia methods, Anesthesiology methods
Abstract

RATIONALE AND SCOPE OF THE GUIDELINES Pain is a subjective unpleasant sensory and emotional experience. Acute pain occurs irrespective of age and has a prevalence of about 5% of the general population. Surgical procedures and painful diagnostic procedures are the main causes of this unpleasant and dangerous phenomenon for hospitalized children. It should be remembered that maintaining homeostasis in a child undergoing surgery is also affected by provision of an adequate level of analgesia and sedation as well as nerve conduction block within the surgical site. Even though both paediatric anaesthesiologists and paediatric surgeons know that the therapeutic activities during the perioperative period should be focused on ensuring sufficient analgesia and haemodynamic stability in surgical patients, as many as 70% of children undergoing surgery may experience moderate to severe pain [1-7]. Moreover, pain management is one of the fundamental human rights, i.e. the right to relief of suffering. According to the declaration of the 13th World Congress on Pain in Montreal (September 2010), this right also includes children [8, 9]. In Poland, the law was amended in 2017, and now each patient is guaranteed the right to relief and treatment of pain (Journal of Laws of 2017, item 836). Unfortunately, this right is not always respected in paediatric patients. Many factors contribute to ineffective analgesia in paediatric patients, mainly insufficient knowledge and lack of experience (concerning the use of opioids in particular), as well as lack of management standards, the negative attitude of the personnel or poor organization [10-13]. In hospitals which, as a result of organizational changes, have implemented analgesic treatment regimens and regularly educate their personnel in these issues, both efficiency and effectiveness of pain relief in children are high [14]. For many years, Polish paediatric anaesthesio-logists have been promoting and streamlining the analgesic management of children, which has led to the development of the present publication. The regimens presented in it are based on both the latest medical reports and many years of the authors' experience. The classes of recommendations and levels of evidence have been prepared (Tables 1 and 2, respectively). The presented recommendations were formulated based on a survey of medical reports published in the last two decades.

Published
2022
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4. [Anaesthesiology in Poland--quo vadis? Round table conference "Progress in anaesthesiology and intensive care medicine"--Ksiaz, 11 May 2007].

Author

Kübler, Szreter, Dyaczyńska, Gaszyński, Jurczyk, Suchorzewska, Necek, Organowski, Kusza, Szulc, Rybicki, Majewski, Nestorowicz, Smiechowicz, Garncarek, and Andres

Subjects
Anesthesiology trends, Contract Services organization & administration, Critical Care trends, Forecasting, Poland, Anesthesiology methods, Anesthesiology organization & administration, Critical Care methods, Critical Care organization & administration
Published
2008

5. [Anesthesiology consulting unit in perioperative medicine].

Author

Wołowicka L, Torliński T, Trojanowska I, Galicki J, and Kozierowski T

Subjects
Ambulatory Surgical Procedures, Anesthesiology methods, Anesthesiology trends, Forecasting, Guidelines as Topic, Humans, Internet, Patient Education as Topic methods, Perioperative Care standards, Perioperative Care trends, Physical Examination methods, Poland, Preanesthetic Medication methods, Quality Assurance, Health Care, Referral and Consultation organization & administration, Risk Management, Anesthesiology organization & administration, Perioperative Care organization & administration
Abstract

There is a demand, caused by increase of one-day surgery, surgery of high risk patients with coexisting diseases, and growing need for patient education, for such improvement of preoperative preparation, which will enable an optimalization in patient care. That became a special task of Preanesthetic Evaluation Clinic. The aim of the paper was to analyze activity of local Preanesthetic Evaluation Clinic in years 1993-2000. Special emphasize was put on: assessment of Clinic functioning, with regard to variety of consultations, perioperative patient education, use of perioperative risk scales, processing of guidelines of laboratory tests in particular groups of patients, assessment of perioperative fear factors. Analyze of consultations was conducted using custom design computer program, operated in the "Clinic since" 1997. Discussing own experiences, a necessity of patient education was emphasized as a significant factor lowering perioperative fear. There was also a presentation of perioperative risk assessment methods as well as guidelines of laboratory tests improving clinical effectiveness. Information for patients, prepared in the Clinic "What should you know about anesthesia" was described. As conclusions perspectives of further development of the Clinic were shown. Growing significance of an anesthetic nurse in perioperative patient preparation was foreseen. A demand for improving electronic patient records as well as use of new technologies was proven.

Published
2001

6. [Neurotrauma in treatment of nervous system injuries--principles in cooperating with anesthesiologists].

Author

Gościński I, Moskała M, Tyrak J, Polak J, Krupa M, and Traczewski W

Subjects
Ambulatory Care methods, Ambulatory Care organization & administration, Craniocerebral Trauma complications, Craniocerebral Trauma diagnosis, Craniocerebral Trauma surgery, Disease Progression, Humans, Neurodegenerative Diseases diagnosis, Neurodegenerative Diseases etiology, Poland, Preoperative Care methods, Trauma, Nervous System complications, Trauma, Nervous System diagnosis, Treatment Outcome, Anesthesiology methods, Neurodegenerative Diseases prevention & control, Patient Care Team organization & administration, Trauma, Nervous System surgery
Abstract

After brain trauma neuronal degeneration results due to the combination of primary mechanical disruption of CNS parenchyma and the secondary pathophysiological events. The fact that the treatment can modified the clinical course and the final outcome, implies that is indeed a modifiable secondary neurodegenerative process which is caused by the mechanical injury. Contemporary in patients with craniocerebral trauma and with polytrauma our management is focused on prevention of secondary brain injury. On the accident scene that is crucial to appropriate ventilate the patient, stabilize blood pressure and prevent shock. The diagnostic tool of choice is CT, but made in the very early stage could revealed false negative scan. That could be the cause of missed beginning of intracranial pressure increase in artificially ventilated patients. Multimodality monitoring in highly specialized centers could enable early detection of such increase (ICP) and help in estimation of indication for surgical treatment. The mechanism, direct sequelae of head trauma and neurological symptoms dynamics are also important.

Published
2001

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